Elimination - (1)oDiagnostic Procedures for Male Reproductive Disorders: Preventing Complications Following a Transurethral Resection of the Prostate (Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 65)Urine should be light pink. If red increase irrigation If catheter becomes obstructed turn off CBL and irrigate with 50 mlRecord amount of irrigation and subtract from total to get true outputInstruct patient not to urinate around catheter. It will cause bladder spasmAccident/Error/Injury Prevention - (1)oSpinal Cord Injury: Care of a Client who has a Halo Device (Active Learning Template - TherapeuticProcedure, RM AMS RN 10.0 Chp 16)Inspect skin integrityContinue taking pain medicationDo not drive until you have stopped taking pain meds and device is removed Alterations in Body Systems - (3)oChest Tube Insertion and Monitoring: Maintaining Drainage System (Active Learning Template - Nursing Skill, RM AMS RN 10.0 Chp 18)Monitor fluid level and add fluid as needed to maintain prescribed level of suctioning To maintain water seal, keep chamber upright and below the chest tube insertion site at all timesContinuous bubbling in water seal chamber indicates air leak in system and should be reported to provider oInfections of the Renal and Urinary System: Assessment of Flank Pain (Active Learning Template - Nursing Skill, RM AMS RN 10.0 Chp 60)Flank pain suggests stones are located in the kidney or ureterFlank pain that radiates to the abdomen, scrotum, testes, or vulva is suggestive of stones in the ureter or bladderFlank pain is often associated with less specific symptoms such as fever, nausea, vomiting, and tachycardia oTuberculosis: Discharge Teaching About Tuberculosis (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 23)Nurse should inform a client being discharged on Rifampin that urine and other secretions may be orangeEncourage exposed family members to be tested for TBEducate the patient to continue medication therapy for its full duration of 6 to 12 monthsPatient is considered no longer infectious after 3 consecutive negative sputum cultures Fluid and Electrolyte Imbalances - (2)oBurns: Assessment Findings of Early Phase of Injury (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 75)Breathing must be assessed and patient airway established immediately during the initial minutes of emergency burn.Resuscitation phase is the first phase of burn injury (first 12 hours and continues for 24-48 hours). In this phase secure airway, support circulation by fluid replacement, prevent infection through wound care and maintain body temperature.Look for decreased Na, increased K and BUNGlucose will also be elevated at this time due to stress
oHyperthyroidism: Caring for Client Following a Thyroidectomy (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 78)Immediately report to the provider any findings of laryngeal stridorHypocalcemia is a possibility after a thyroidectomy. Signs of hypocalcemia include
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- Fall '19